HomeMy WebLinkAbout192186 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1
ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC CHECK AMOUNT: $488.00
�o CARMEL, INDIANA 46032 35 BUDNEY ROAD
NEW NGTON CT 06111 CHECK NUMBER: 192186
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4353099 14444 488.00 OTHER RENTAL LEASES
®2N2 SITE On Site Gas Systems, Inc.
Manufactures Designers of Oxygen Nitrogen Generating Equipment
35 Budney Road, Budney Industrial Park, Newington, CT 06111 USA
Telephone: 860.667.8888 Fax: 860.667.2222 www.onsitegas.com
Invoice Number: 14444
InInvoice ��r� j�® Date: 11/1512010
YY IY er Page: 1 of 1
B CITY OF CARMEL S CARMEL FIRE DEPT
I ONE CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL IN 46032 -2584 1 CARMEL IN 46023
L USA P USA
T T
O O
x �Gk°
Purchase?Orderr,, Packa es. ]Pre aid Wei lit Shy tVia,`„ ",n Terms.,
L000000O14 12667 WA DUE UPON RECIEPT
T_ i 'Qty ,t,' Back, i a t� °'F+" tiyr' e r a "EXtended
Line /Rel u Qty Orlercd,Slpped'` Order .m' Date Shipped Unit Price Pr�ce.A
1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00
Customer Item: Lease Nov 7, 2010 thru Dec 7, 2010
Item: L- 02FS -7
Serial 5362
Sales; °Amount 488.00
Misc Charges 0.00
Freight 0.00
488.00
VOUCHER NO. WARRANT N
ALLOWED 20
On Site Gas Systems, Inc.
IN SUM OF
35 Budney Road
Newington, CT 06111
$488.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 14444 43- 530.99 $488.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
NOV 2 A Me
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
14444 $488.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer